Provider Demographics
NPI:1437301017
Name:KARALIS, NICHOLAS (RPH)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:
Last Name:KARALIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 S MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5200
Mailing Address - Country:US
Mailing Address - Phone:610-545-6040
Mailing Address - Fax:610-545-6030
Practice Address - Street 1:194 S MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5200
Practice Address - Country:US
Practice Address - Phone:610-545-6040
Practice Address - Fax:610-545-6030
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP037977L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist